COVID-19 Vaccines - The Facts

I am a Health Visitor

#Fitness #Amy and Jenny #I Am A Health Visitor

51:57

On the Season 2 debut of Lost Cultures: Living Legacies , we travel to Bermuda, an Atlantic island whose history spans centuries and continents. Once uninhabited, Bermuda became a vital stop in transatlantic trade, a maritime stronghold, and a cultural crossroads shaped by African, European, Caribbean, and Native American influences. Guests Dr. Kristy Warren and Dr. Edward Harris trace its transformation from an uninhabited island to a strategic outpost shaped by shipwrecks, colonization, the transatlantic slave trade, and the rise and fall of empires. Plus, former Director of Tourism Gary Phillips shares the story of the Gombey tradition, a vibrant performance art rooted in resistance, migration, and cultural fusion. Together, they reveal how Bermuda’s layered past continues to shape its people, culture, and identity today. You can also find us online at ⁠travelandleisure.com/lostcultures Learn more about your ad choices. Visit podcastchoices.com/adchoices…

4 years ago 1:42:12

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Amy and Jen discuss the efficacy (and what that percentage ACTUALLY means, in terms of the stats), safety and mechanisms of the three vaccines currently approved for use in the UK at the time of recording - The Oxford-AstraZenaca, Moderna-NIAID and the BioNtech-Pfizer. We also talk about some worries that either you might be having about these vaccines or that you might come across from families in your practice over the next few weeks and months. As ever, fear is born of a lack of understanding. Some of this science is new, but despite that there is much we do know and much that we can say with confidence. If you have a worry we have not covered - we want to hear from you. Please don't be shy - if you have thought it there will certainly be plenty of others worrying the same things. Questioning and thinking about these things demonstrates that we are scientifically minded and keen to interrogate the data. So speak up and we can work it out together as a community. Email us at iamahealthvisitor@gmail.com. Thankyou for all your incredible work, both inside and outside of a pandemic. Health visitors are superheroes. Amy and Jen xxx *Please note* There is now additional information to this episode also available which answers listener questions on fertility and conception, allergy and anaphylaxis and having the vaccine after having already had COVID-19. This is available in your podcast feed so please do check it out if it might be helpful for you. Resources and Further Reading: COVID19 chapter in the Green Book: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/948757/Greenbook_chapter_14a_v4.pdf Clear explanation on different types of vaccines and how they work: https://www.cdc.gov/coronavirus/2019-ncov/vaccines/different-vaccines/how-they-work.html The Oxford-AstraZenaca Trial Data: https://www.thelancet.com/action/showPdf?pii=S0140-6736%2820%2932661-1 The Pfeizer-BioNTech Trial Data: https://www.nejm.org/doi/pdf/10.1056/NEJMoa2034577?articleTools=true The Moderna-NIAID Trial Data: https://www.nejm.org/doi/full/10.1056/NEJMoa2035389 Drugs in Breastmilk Service (Breastfeeding Network) Info on the COVID vaccines: https://www.breastfeedingnetwork.org.uk/coronavirus/ WHO guidance on pregnancy and COVID: https://www.who.int/news/item/01-09-2020-new-research-helps-to-increase-understanding-of-the-impact-of-covid-19-for-pregnant-women-and-their-babies November 2020 BMJ study of COVID in pregnancy: https://www.bmj.com/content/370/bmj.m3320 Panorama BBC episode ‘the race for a vaccine’. https://www.bbc.co.uk/iplayer/episode/m000qdzd/panorama-the-race-for-a-vaccine E-Learning for Healthcare: https://www.e-lfh.org.uk/programmes/covid-19-vaccination/ Oxford Vaccine Group FAQs: https://www.research.ox.ac.uk/Article/2020-12-30-oxford-vaccine-regulatory-faq WHO description of how vaccines work: https://www.who.int/news-room/feature-stories/detail/how-do-vaccines-work?utm_source=facebook&utm_medium=landingpageviews&utm_campaign=vaccinebls&fbclid=IwAR1H5aAE-KZTfzLrEqzkxKQAH4BDd-UsFo_BcH4dP3C67CifXkQJwBy3LB0 Interesting discussion on vaccine hesitancy: https://www.ox.ac.uk/news/science-blog/covid-19-vaccine-hesitancy-uk

86 episodes

I am a Health Visitor

COVID-19 Vaccines - The Facts

I am a Health Visitor

24 subscribers

published 4 years ago

MP3•Episode home

86 episodes

#Fitness #Amy and Jenny #I Am A Health Visitor

All episodes

I am a Health Visitor

1
All about Expressing Breastmilk 1:12:17

3 years ago1:12:17

1:12:17

This episode links really well with our previous episodes about combination feeding and giving top ups (linked in resources section below). In this episode Jen shares all her IBCLC wisdom with us on expressing breastmilk. How much do you know about flanges?! We talk about: - when to express - the emotional and physical load of pumping - how to pump - 'hands on' expressing - does the flange fit - how much milk to expect Resources and Further Reading: Our previous episode on Combination Feeding with Lucy Ruddle (IBCLC and author of 'Mixed Up'): https://soundcloud.com/iamahealthvisitor/combination-feeding-with-lucy-ruddle-ibclc?utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing Our previous episode on Top Ups: https://soundcloud.com/iamahealthvisitor/top-ups-when-what-how-and-how-much-to-give?utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing Breastfeeding twins and triplets charity (Kathryn Stagg IBCLC): https://breastfeedingtwinsandtriplets.co.uk Hand Expressing Video: https://globalhealthmedia.org/videos/how-to-express-breastmilk/ Hands Free Pumping Bra Hack: https://www.youtube.com/watch?v=8stY-2fxt4M Flange Sizing: (see our instagram account 'IamaHV' for a visual) Hands On Expressing: http://www.nancymohrbacher.com/articles/2012/6/27/to-pump-more-milk-use-hands-on-pumping.html Some social media pages to follow and recommend for free resources: Olivia - Hospital Lactation Consultant https://www.instagram.com/olivia_lactation_consultant/?hl=en Stacey Zimmel at Feed Eat Speak: https://www.instagram.com/feedeatspeak/ Kathryn Stagg IBCLC https://www.instagram.com/kathrynstaggibclc/…

I am a Health Visitor

1
Infant poo under 6months - what's normal and what's not 50:45

3 years ago50:45

50:45

Jen and Amy delve into the murky world of infant poo in the first six months! What to expect, what is a worry and what isn't. How is poo different between formula and breast or chestfed babies? Or mixed fed babies? What does that green poo mean? What about giving a bit of fruit juice or water for constipation? We answer all your questions and as usual it turns out to be more complicated than we imagined! Thanks to a listener for this request! Do get in touch with any questions, comments or suggestions for future episodes on iamahealthvisitor@gmail.com Thanks for listening! Amy and Jen Resources The baby poo gallery: https://www.facebook.com/babypoogallery/ Philippa Pearson-Glaze IBCLC on green poo: https://breastfeeding.support/why-is-my-babys-poop-green/ Drugs in Breastmilk Advice: https://www.breastfeedingnetwork.org.uk/detailed-information/drugs-in-breastmilk/ Child Liver Disease on pale stools: https://www.childliverdisease.org/wp-content/uploads/2018/01/Yellow-Alert-Stool-Chart-Bookmark.pdf Frequency of stool slowing - Carol Smythe IBCLC: https://www.carolsmyth.co.uk/breastfeeding-resources/posts/2016/december/should-my-breastfed-baby-poo-every-day-or-is-breast-milk-all-used-up/ First Steps Nutrition: https://www.firststepsnutrition.org Our previous episode on the Aptamil formula changes: https://soundcloud.com/iamahealthvisitor/those-aptamil-formulation-changes GP Infant Feeding Network on constipation: https://gpifn.org.uk/constipation/…

I am a Health Visitor

1
Is there a new SIDs Biomarker? 31:05

3 years ago31:05

31:05

Amy and Jen take a dive into a recent research paper suggesting there may be a newly identified biomarker for infants at high risk of SIDS. We look at the recent paper in detail, review the statistics and the methodology and consider what we are able to say and what we are not, as well as possible harms that might come from misinterpretation of the results. We also discuss the article in the context of the current theoretical approaches to SIDS research and general safe sleep advice which importantly still needs to be followed. We love to hear from you. Contact us with suggestions or ideas for future episodes at iamahealthvisitor@gmail.com. Thanks for listening, Amy and Jen References and Resources for further reading: Harrington, Hafid & Waters 2022 - the full text article: https://www.thelancet.com/journals/ebiom/article/PIIS2352-3964(22)00222-5/fulltext Media coverage: 1. https://www.biospace.com/article/researchers-answer-how-and-why-infants-die-from-sids/?utm_content=207502735&utm_medium=social&utm_source=facebook&hss_channel=fbp-10530620221 2. https://www.theverge.com/2022/5/13/23071364/sids-research-hype-science-studies for context - there is so much about SIDS deaths we still do not understand: https://www.nejm.org/doi/full/10.1056/NEJMp2119221 Critical analysis of the media hype: https://www.theatlantic.com/health/archive/2022/05/sudden-infant-death-syndrome-cause-study/629886/ Lullaby trust statement about this article: https://www.lullabytrust.org.uk/our-response-to-new-australian-sids-biomarker-study/…

I am a Health Visitor

1
Breastfeeding for Public Health Professionals - with Alison Spiro 49:06

3 years ago49:06

49:06

Amy and Jen chat to the inspiring Alison Spiro who has a PhD in anthropology as well as practicing as a health visitor. Listing all her achievements is a podcast summary in itself, but across her career she has worked as a breastfeeding counsellor herself, established an incredibly successful peer support service, taken both a hospital and community trust to BabyFriendly accreditation, worked on the world breastfeeding trends initiative report in 2015, contributes to the APPG on infant feeding on behalf of BestBeginnings, volunteers with the Breastfeeding Alliance, has been the iHV expert advisor on breastfeeding. Most recently, she is the author of 'Breastfeeding for Public Health: A resource for community healthcare professionals'. We discuss with Alison some of the most important issues in breastfeeding support - from culture and anthropology to emotions, wellbeing, mental health and therapeutic communication skills. We talk about the importance of debriefing your own infant feeding experiences and bringing an unbiased listening ear to your interactions with families. Hopefully this will be an interesting and relevant discussion for your health visiting practice. We would love to her your thoughts and comments at iamahealthvisitor@gmail.com Reading & Resources: Alison's new book - 'Breastfeeding for Public Health: A resource for community healthcare professionals': https://www.amazon.co.uk/Breastfeeding-Public-Health-Healthcare-Professionals/dp/0367689561/ref=sr_1_2?crid=3M4VF06U18GP7&keywords=breastfeeding+for+public+health&qid=1652711900&sprefix=breastfeeding+for+p%2Caps%2C71&sr=8-2 World Breastfeeding Trends Report: https://www.worldbreastfeedingtrends.org/resources/publications Becoming Breastfeeding Friendly with Yale University: https://ysph.yale.edu/bfci/ Kathryn Stagg IBCLC: https://kathrynstaggibclc.com Eve Canavan lived experience story: https://www.app-network.org/news-events/news/personal-experiences/story-eves/…

I am a Health Visitor

1
Slings and Babywearing with Maria Renshaw 31:20

3 years ago31:20

31:20

This week Jen talks to Maria Renshaw who runs a local sling library in Colchester about her experience of slings and all things baby-wearing from a very practical perspective. She goes through different types of baby wearing from soft wrap slings to buckle carriers with some tips on the differences, fitting, safety tips including the TICKs acronym, common worries about hips and knees, how to find your local services for sharing with parents. Thanks so much Maria for sharing your experience and knowledge with us! As ever we love to hear from you, contact us with your comments or feedback on iamahealthvisitor@gmail.com Amy and Jen References and Resources: Maria's website: https://www.beautiful-bonds.co.uk/meet-the-team The TICKS rules for safe baby wearing: http://babyslingsafety.co.uk Sling Pages (to find a local sling library): http://www.slingpages.co.uk 'Why Babywearing Matters' by Rosie Knowles https://www.amazon.co.uk/Why-Babywearing-Matters-Pinter-Martin/dp/1780665350 Babywearing training and resources: https://www.carryingmatters.co.uk/training/…

I am a Health Visitor

1
BASIS on Sleep Pods and Nests 44:17

3 years ago44:17

44:17

Amy and Jenny chat to the lovely Alice from the Baby and Infant Sleep Information Source (BASIS) about sleep pods and nests. We cover the evidence base - what can we and can't we say about these products. Are they safe or not? In what circumstances? How do we actually know one way or the other? We talk about what manufacturing standards these products are held to, as well as some of more the hidden risks and implications the use of these items have. We also consider the disproportionate impact on families who live with a low income, who may be tempted to recreate homemade versions and leading to a cluster of co-occurring SIDS risks. Alice tells us about her research from a recent survey with parents about their use of sleep pods and we discuss how to have appropriate conversations with families to help minimise risk while sticking to the evidence base and avoiding scaremongering or judgement. We have quite a few other episodes on sleep now - so do check back through our back catalogue if this is a topic that interests you! Thanks so much for listening everyone - we would love to hear from you with any comments or suggestions to iamahealthvisitor@gmail.com Resources and Further Reading: The BASIS website - check out their resources if you haven't ever used them, they're brilliant: https://www.basisonline.org.uk Professor Helen Ball webinar on "What is Normal Infant Sleep: The View From Anthropology": https://www.youtube.com/watch?v=g5fOogsUpIk Lullaby Trust Resources on Baby Products: https://www.lullabytrust.org.uk/safer-sleep-advice/sleeping-products/ and: https://www.lullabytrust.org.uk/wp-content/uploads/The-Lullaby-Trust-Product-Guide-Web.pdf Specific to sleep positioners: https://www.lullabytrust.org.uk/are-sleep-positioners-safe-for-babies/…

I am a Health Visitor

1
Contraception 57:58

3 years ago57:58

57:58

Jen and Amy go through the world of contraceptive advice. Although not directly our work, it's definitely connected and very relevant to health visitors. Often a bit of a neglected topic, it can be something we feel uncomfortable or poorly prepared to discuss with families. We hope our discussion solves some of those problems as we go through the contraceptive options for families, talk about contraception and lactation and the more emotional side of the conversation about physical intimacy after the birth of a baby. References and further reading: Faculty for Sexual and Reproductive Health Guideline: https://www.fsrh.org/documents/contraception-after-pregnancy-guideline-january-2017/ NHS Contraception Guide: https://www.nhs.uk/conditions/contraception/ Lactation and Breastfeeding: https://www.breastfeedingnetwork.org.uk/contraception/ iCaSH Sexual Health Service & the C-Card Scheme: https://www.icash.nhs.uk/contraception-sexual-health/c-card-scheme Emotional Factors and broader conversation prompts: https://www.nct.org.uk/life-parent/sex-after-baby/sex-after-baby-10-questions-ask-yourself…

I am a Health Visitor

1
The infant microbiome - headlines from the CHILD study 54:01

3 years ago54:01

54:01

Jen and Amy gently guide you through the main headlines of the huge, massive, overwhelming and generally awe inspiring 'CHILD Cohort Study' all about the human microbiome. We will discuss how all the things you might expect, and some very unexpected factors, can all impact the infant microbiome and the important long term impacts this can have on that child's health. If you would like to look more into the myriad of research which has been produced from the CHILD dataset, just do a quick google scholar search and you will find heaps to keep you going. For a more curated starting point, check out our further reading down below! We love to hear from you, contact us on iamahealthvisitor@gmail.com Thanks for listening! Further reading: YouTube Summary of the CHILD study: https://youtu.be/eL9dAGiCNLU Study website with the key discoveries highlighted: https://childstudy.ca/portfolio/key-discoveries/…

I am a Health Visitor

1
Measurement of Postnatal Anxiety with Dr Vicky Fallon 1:05:34

3 years ago1:05:34

1:05:34

We discuss postnatal anxiety, specifically the measurement of anxiety after birth. In practice we are often using generic anxiety measures which are simply just not appropriate for use in this specific period of a parent's life. Listen in to learn more about the scale, how it can be used and how you might be able to incorporate it in your clinical practice. As ever, we love to hear from you. Get in touch with comments or suggestions at iamahealthvisitor@gmail.com If you would like to use the PSAS in your practice or you would like to be involved with her stakeholder engagement research then Vicky would love to hear from you! Email her at vfallon@liverpool.ac.uk. Resources and Further Reading: Dr Vicky Fallon - other relevant publications mentioned in the episode: 1. A feasibility trial of a single session Acceptance and Commitment Therapy intervention to reduce fear of childbirth in first time mums. https://www.tandfonline.com/doi/full/10.1080/08870446.2021.2024190 2. Challenges and opportunities for child health services in responses to the COVID-19 pandemic https://www.tandfonline.com/doi/full/10.1080/02646838.2021.1890422 THE POSTPARTUM SPECIFIC ANXIETY SCALE - Research Background: Parent Infant Foundation Briefing Paper: https://www.researchgate.net/profile/Sergio-Silverio-2/publication/351736241_The_Postpartum_Specific_Anxiety_Scale_PSAS_Briefing_Paper/links/60a6c586299bf1031fbe1378/The-Postpartum-Specific-Anxiety-Scale-PSAS-Briefing-Paper.pdf Validation study: https://link.springer.com/article/10.1007/s00737-016-0658-9 Short form validation: Creation and validation of the Postpartum Specific Anxiety Scale Research Short-Form (PSAS-RSF) https://pubmed.ncbi.nlm.nih.gov/33900462/ Childbearing specific validation - predicts infant feeding outcomes: https://link.springer.com/article/10.1007/s00737-017-0775-0…

I am a Health Visitor

1
Hepatitis B Selective Vaccination Policy 21:09

3 years ago21:09

21:09

Amy and Jen discuss a government guidance document published in the past year which reviews the Hepatitis B selective immunisation pathway for pregnant people and newborns. We look at this guidance from the perspective of health visitors in practice - what do you need to know? What should be happening, what actually IS happening and what do you need to do when this crops up on your caseload? As ever we love to hear from you with any comments or thoughts by email on iamahealthvisitor@gmail.com. Resources and Further Reading: I am a HV episode on the Hexavalent vaccine: https://soundcloud.com/iamahealthvisitor/changes-to-the-immunisation-schedule-august-2017-episode-2 Guidance Document - Hepatitis B antenatal screening and selective neonatal immunisation pathway. https://www.gov.uk/government/publications/hepatitis-b-antenatal-screening-and-selective-neonatal-immunisation-pathway…

I am a Health Visitor

1
Money for you! The Macqueen Bursary: application deadline approaching 31:24

3 years ago31:24

31:24

Extra bonus episode! In this special extra episode, Jen and Amy talk to the lovely Kitty Lamb of the CPHVA Education Development Trust Macqueen Bursary team. Kitty walks us through the types of projects the Macqueen bursary funds and how to apply. Hopefully it will give you lots of ideas for your own career development projects. Good luck and get applying! The deadline is the 29th January 2022. To reach Jen and Amy, you can email the podcast at iamahealthvisitor@gmail.com Resources: Download the Macqueen form and guidance document from here: https://cphvaeddevtrust.wordpress.com Macqueen bursary social media: Twitter: https://twitter.com/cphvaeddevtrust Facebook: https://www.facebook.com/cphvaeddevtrust/…

I am a Health Visitor

1
Pelvic Health with Physiotherapist Hannah Poulton 45:03

3 years ago45:03

45:03

Happy new year everyone! For our first podcast of 2022 we are lucky to be joined by Hannah Poulton, who is an experienced physiotherapist with a specialism in women's health, scar therapy and c-section recovery. We talk all things pelvic floor! We learned heaps from this episode and could have talked all day, so hopefully this episode will really help you add to your clinical knowledge in this important area. As ever, we love to hear from you with any comments in relation to this episode or any other. Get in touch with us by email at iamahealthvisitor@gmail.com References and further reading: Follow Hannah on social media at HLP Therapy: https://www.instagram.com/hlptherapy/ Hannah's YouTube page: https://www.youtube.com/channel/UCWv85jKP4N2WZSfWxTdreIw Physiotherapy centre Liverpool: https://thephysiotherapycentre.com https://www.instagram.com/thephysiotherapycentre/?hl=en https://www.facebook.com/PHYSIOTHERAPYCENTRE1/…

I am a Health Visitor

1
Merry Christmas 2021: "We see and hear it all!" 1:15:29

3 years ago1:15:29

1:15:29

Merry Christmas! Get your IamaHV Bingo card at the ready (downloadable from our twitter and instagram feeds @IamaHV), mince pies and cup of tea lined up and get ready to laugh. A lot. Have your tissues at the ready for the last section, which got unexpectedly emotional! Thank-you everyone for all your amazing funny stories. You are all hilarious! Thank-you to our volunteer voices who have recorded the specially selected few. Thank-you to every single one of you who is continuing to just. keep. going. through everything and still managing to have a smile on your face from time to time. You are awesome. Merry Christmas with so much love, Jen and Amy x iamahealthvisitor@gmail.com…

I am a Health Visitor

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Jaundice 1:07:40

4 years ago1:07:40

1:07:40

Amy and Jen talk about something we see and manage all the time, but as we always find there is more to it than meets the eye! We discuss definitions and different forms of jaundice in terms of the underlying mechanism, red flags and risk factors, assessment including how to spot jaundice in darker skin tones (and some promising new tech to help with this!), how to judge severity and what your management plan should be. We also talk a lot about feeding issues - as is to be expected with this topic. The episode would pair really well with our top-ups episode where Jen puts her IBCLC hat on to give us loads of detail on how to supplement a baby who is struggling to transfer enough milk at the breast, if you wanted to check that one out too the link is in the resources section below. We also discuss some International differences with the management and response to jaundice and wonder whether there are lessons we can learn from other places in the world. We always love to hear from you - please do get in touch with any comments or suggestions by email iamahealthvisitor@gmail.com. You can also send us your funny anecdotes for our Christmas episode to this address too! **References and Further Reading: ** Our Top-Ups Podcast Episode: https://soundcloud.com/iamahealthvisitor/top-ups-when-what-how-and-how-much-to-give?si=d2195fa54aa04d19aec62fdcb4e5d179 Pilot study of a smartphone app for jaundice recognition in babies with darker skin tones: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0216970 NICE Clinical Knowledge Summary for Jaundice: https://cks.nice.org.uk/topics/jaundice-in-the-newborn/ Massage for neonatal jaundice - an RCT: https://europepmc.org/article/med/33116094 Systematic Review of Massage for neonatal jaundice: https://www.sciencedirect.com/science/article/abs/pii/S1355184119301255 ABM Jaundice Protocol: https://abm.memberclicks.net/assets/DOCUMENTS/PROTOCOLS/22-jaundice-protocol-english.pdf NHS Direct page: https://www.nhs.uk/conditions/jaundice-newborn/…

I am a Health Visitor

1
Car Seat Safety 1:25:06

4 years ago1:25:06

1:25:06

Ahead of road safety week, Amy and Jen talk to two experts in car seat safety to get the key messages for you to pass onto parents. I know I often talk with parents at the antenatal contact about what kit they have bought for baby, often they are keen to share with me their ideas or thoughts and often quite receptive to suggestions regarding safety. When it comes to car seats, I am often out of my depth and struggle with what to tell them! There's huge variety in safety and mistakes with fitting to the car and fitting the child in the seat are common. We are sure you will learn heaps from this discussion, just as we did. Thankyou to Margaret and Ron for all your time and passion - it really came across so strongly. For more information see the resources on Margaret's website and Facebook page, listed below. If you would like to contribute to our conversation or for thoughts or feedback please do contact us on iamahealthvisitor@gmail.com **Resources and Further Reading: ** Margaret's Website: www.rearfacingtoddlers.com YouTube Channel: www.youtube.com/rearfacingtoddlers Facebook Page (Car Seat Advice UK): https://www.facebook.com/groups/CSAUK Check It Fits Ireland service (where Ron is based): https://www.rsa.ie/road-safety/road-users/passengers/children/check-it-fits…

I am a Health Visitor

1
Considering a PhD? 30:17

4 years ago30:17

30:17

Have you ever considered a career in academia? Or perhaps a blended career with a mixture of clinical and research across your week? If so then listen in as Amy chats about the process of finding and applying for a PhD. You might be more well qualified than you realise! Health visitors make excellent candidates because of our passion for evidence based healthcare and our ability to read and think critically about the literature; applying it to real life. For comments, suggestions or questions get in touch at iamahealthvisitor@gmail.com Further reading and Resources: National Institute of Healthcare Research Fellowship Programmes: https://www.nihr.ac.uk/explore-nihr/academy-programmes/fellowship-programme.htm Find a PhD: https://www.findaphd.com…

I am a Health Visitor

1
Mastitis 48:00

4 years ago48:00

48:00

Jen is leading the way this week sharing her IBCLC knowledge with us on the topic of mastitis. We discuss a new school of thought on the treatment of blocked ducts as inflammation - moving away from vigorous massage and towards cold compresses and Ibuprofen. What's the deal with cabbage leaves - an old wives tale or does it work? What about antibiotics? How might disposable nappies be helpful here? All these questions and more. As ever, there is more to know than we realised! As ever we welcome your thoughts and contact about all our episodes, email us at iamahealthvisitor@gmail.com Resources and Further Reading: Nancy Morbacher's Website: http://www.nancymohrbacher.com NHS Choices: https://www.nhs.uk/conditions/mastitis/ La Leche League: https://www.laleche.org.uk/mastitis/ KellyMom (American IBCLC run evidence based page): https://kellymom.com/bf/concerns/mother/mastitis/ Breastfeeding Network: https://www.breastfeedingnetwork.org.uk/wp-content/dibm/BFN%20Mastitis%20feb%2016.pdf The Flipple Technique for a deep latch: https://www.llli.org/breastfeeding-info/positioning/ https://www.lactationmotivation.com/post/using-the-flipple-technique Positioning including Laid Back/Biological Nurturing Breastfeeding Positions: https://www.llli.org/breastfeeding-info/positioning/ The TABBY Tool for Tongue Tie assessment: https://pubmed.ncbi.nlm.nih.gov/31346346/ NICE clinical knowledge summary on Mastitis: https://pubmed.ncbi.nlm.nih.gov/31346346/ Bergmann, H; Rodriguez, J.M; Salminen, S; et al (2014) Probiotics in human milk and probiotic supplementation in infant nutrition: A workshop report. British Journal of Nutrition 112(7) 547-549 cited in Mohrbacher, N (2021) Breastfeeding Answers (2nd Edition). Available from: https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/probiotics-in-human-milk-and-probiotic-supplementation-in-infant-nutrition-a-workshop-report/EBA29A2197CEBDFB90950B2628552309#…

I am a Health Visitor

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Introducing Solid Foods 1:06:04

4 years ago1:06:04

1:06:04

Our 'bread and butter' (no pun intended!) but as with everything our perspective and advice changes over time so time for an update! What are the current important messages we should be conveying to parents as they begin to introduce solids to their babies. Why should we not be calling it 'weaning' and what about giving milk alongside solids? What signs of readiness should we look for? What is responsive feeding in terms of solid foods and what key messages about this should we be passing on to parents? What is the current guidance on introducing allergens, including where there is a known allergy in the family? We put the emphasis on discussing the important messages about food - feeding responsively to the child's cues, building healthy habits for life, satiety and hunger signals, the social aspects of a mealtime and enjoyment of food; rather than on arbitrary rules or lists of requirements. We would love to hear from you with any thoughts or suggestions, email us at iamahealthvisitor@gmail.com **Resources and Further Reading: ** Our previous podcast - Does early weaning REALLY make babies sleep better?: https://soundcloud.com/iamahealthvisitor/does-early-weaning-really-help-babies-sleep-better Dewey 2001 - Nutrition, growth, and complementary feeding of the breastfed infant: https://pubmed.ncbi.nlm.nih.gov/11236735/ First Steps Nutrition 'Eating well recipe book Simple, cost-effective ideas for the whole family': https://www.firststepsnutrition.org/eating-well-infants-new-mums Introducing allergens to baby - Allergy UK: https://www.allergyuk.org/assets/000/002/342/Weaning_–_Introducing_your_baby_to_solids_original.pdf?1547805087 St John's Ambulance: https://www.youtube.com/watch?v=oswDpwzbAV8 Introducing solids to the breastfed baby: https://kellymom.com/nutrition/starting-solids/solids-how/ Rewards and Punishments for food - Why not?: https://www.health.qld.gov.au/news-events/news/ask-an-expert-reward-punish-children-with-food HENRY - Health Exercise and Nutrition for the Really Young: https://www.henry.org.uk NHS Choices info on food storage and preparation: https://www.nhs.uk/start4life/weaning/safe-weaning/preparing-food-safely/#anchor-tabs Feed Eat Speak: https://www.feedeatspeak.co.uk…

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Inclusive Language - lets be thoughtful 1:24:40

4 years ago1:24:40

1:24:40

Amy and Jen discuss the importance of using the right language and being kind and respectful when working with parents. We go through the use of pronouns, preferred names and discuss LGBTQIA+ communities and how they relate to our role. We go back to basics with definitions for those people who don't yet understand the difference between sex and gender, what to do if you make mistakes and how to get it right; as well as talking briefly about the potential complexities of lactation and birth for transgender parents. You might think of these issues as niche but it they truly aren't - this is an issue for every single health professional. If you think it doesn't apply in your area, or you have not come across it yet, even more reason for you to listen to this and gain more knowledge and understanding. As a society we are on a journey to become kinder, more inclusive, more compassionate and more empathetic to other human beings. This is all part of that journey. We won't get it right every time - but we urgently need to start trying. We would love to hear your thoughts. If you feel we have missed something or you would like to contribute to this conversation please do drop us an email at iamahealthvisitor@gmail.com Resources and Reading: Mentioned in the podcast - The queer birth club - https://queerbirthclub.co.uk 'Animal: The Autobiography of a Female Body' by Sara Pascoe Academy of Breastfeeding Medicine Clinical Protocol: https://abm.memberclicks.net/assets/33%20Lactation%20Care%20for%20LGBTQ%20Plus%20Patients.pdf Brighton Midwives Gender Inclusion: https://www.bsuh.nhs.uk/maternity/our-services/specialist-support/gender-inclusion/ Statistics on Outcomes for Transgender People: https://www.stonewall.org.uk/sites/default/files/trans_stats.pdf Additional Resources: If you are looking to understand more about gender issues there are some excellent resources to help you learn. Gender Spectrum - a range of excellent summary articles covering the essentials: https://www.genderspectrum.org/articles/understanding-gender An Ally's Guide to Terminology: https://www.glaad.org/sites/default/files/allys-guide-to-terminology_1.pdf Birth for Every Body: Group of midwives aiming to make birth feel safe and inclusive for everyone: http://www.birthforeverybody.org…

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#Replay Umbilical Granuloma Treatment With Common Table Salt 15:18

4 years ago15:18

15:18

In the last of our summer #Replay series, we look back at a simple intervention health visitors can recommend in practice to resolve a common clinical issue. Health Visitors are well placed to identify these granulomas and advice parents on how to treat these, preventing unnecessary and potentially harmful treatment with silver nitrate. Jenny and Amy discuss what Health Visitors need to know to advise parents confidently on this, including the practicalities of how to apply the salt and common parent concerns with this. We would love to hear your thoughts or suggestions for future episodes. Email us at iamahealthvisitor@gmail.com Thanks for listening! iHV Top Tips for Parents: ihv.org.uk/wp-content/uploads/…a_26_9_2017_b-1.pdf iHV Good Practice Points: file:///Users/richard/Downloads/iHV_GPP_Treatment_of_Umbilical-Granuloma_19_9_2017_b-1.pdf…

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#Replay - Bath Emollients Not Effective in Treatment of Eczema 25:08

4 years ago25:08

25:08

Third in our summer #Replay series, we have selected this review of the BATHE study of eczema. After a recent conversation with researchers at the University of Southampton, where this study was conducted; it appears that their research has not yet filtered down to the primary care settings. We hope this #Replay helps some of you to manage eczema more confidently and perhaps leads to a change in practice in terms of bath emollient usage. This new research represents strong evidence for a significant change in health visitor practice - share it far and wide! We really recommend reading the paper and looking at the infogram abstract and the accompanying video explaining the results - it's a very well presented and accessible piece of research (and, as a bonus, Professor Howard Williams has a very nice friendly voice!) To get in touch contact us at iamahealthvisitor@gmail.com Thanks for listening! Reading: Study website at Southampton University: https://www.southampton.ac.uk/bathe/index.page Full article at the BMJ: https://www.bmj.com/content/361/bmj.k1332…

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#Replay Bronchiolitis 36:17

4 years ago36:17

36:17

As part of our summer #Replay series we are curating for you some of our best episodes from several years ago which you may not have come across yet in our archives. This one was recorded in the December of 2017 and discusses what is normally a Christmas theme - bronchiolitis. Thanks to the strange circumstances this year, we are seeing an emergence of RSV and surges in cases causing hospitalisation outside of the normal 'bronchiolitis season'. So we thought this one might be a particularly apt episode to #Replay for you today. We hope it's useful! Jenny and Amy discuss how to assess the babies on your caseload who have caught the dreaded RSV, when to signpost them to the GP and how to know when it's urgent enough to be sending them to A&E. We also discuss the progression of the illness and some encouraging words you can share with parents on your caseload who are exhausted with bronchiolitis at the moment. Have you ever heard of the bronchiolitis vaccine? Amy and Jenny tell you who is eligible and what the vaccine is all about. Further Reading: NHS Choices: https://www.nhs.uk/conditions/bronchiolitis/ Bronchiolitis Vaccine - The Green Book: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/458469/Green_Book_Chapter_27a_v2_0W.PDF Example of Work of Breathing in an infant: https://www.youtube.com/watch?v=bYso_Oz-35k *PLEASE NOTE: we chose this clip because it is quite a good, natural example of what you are looking for on a child's chest, however the terminology is American. If you are a SCPHN in the UK then we usually refer to 'subcostal recession' and 'tracheal tug'. Jingle Bells from: https://freesound.org/people/juskiddink/sounds/110158/…

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#Replay Postnatal Depression: "Fine (Not Fine) with Bridget Hargreave" 27:11

4 years ago27:11

27:11

#Replay! This summer we are taking the opportunity to put a spotlight on some of our favourite older episodes which we feel are still incredibly useful for HVs today. If you are a relatively new listener, we hope you will enjoy this curated list of some of our best ones! To kick it off, this #Replay was first released in January 2018 and was our very first ever guest! Bridget discusses her experiences with health visitors and how we can help women share how they are truly feeling. We talk about what we should (and shouldn't!) say and do when someone tells us they're having a really bad time, how to use scales like the Edinburgh Scale, the PHQ-9 and the Wholly Questions, how feeding issues and reflux or colic can impact on mood and interventions such as listening visits. We talk about our own experiences in practice, the Nice Guidance on Perinatal Mental Health and Bridget talks from her own lived experience and those of the other women shared in her book. As ever, give us a shout if you have any thoughts or comments to iamahealthvisitor@gmail.com on Twitter @IamaHV or on FaceBook at I am a Health Visitor. Bridget's book is excellent and is available at Amazon on the following link: www.amazon.co.uk/Fine-Not-Perspec…on/dp/1853432202 NICE guidance on Antenatal and Postnatal Mental Health: www.nice.org.uk/guidance/cg192/re…df-35109869806789…

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Head Circumference 56:38

4 years ago56:38

56:38

Following our previous episode with Harry’s Hat, Amy and Jen review the guidance on measuring head circumference. We discuss when (and how frequently) as well as how to measure. Many of us may be doing it incorrectly - using lasso/plastic tapes (which can stretch and lead to inaccurate measurements), instead of paper. We also discuss the potential consequences of not detecting problems with head circumference with reference to a recent court case and consider what lessons we can learn from this case. Further Reading and Resources: Court Case https://www.bailii.org/ew/cases/EWHC/QB/2020/3102.html NICE Guidance on abnormal head shape or size: https://www.nice.org.uk/guidance/ng127/chapter/Recommendations-for-children-aged-under-16#head-shape-or-size-abnormalities https://www.nice.org.uk/guidance/qs198/chapter/Quality-statement-2-Head-size-and-shape-in-children NHS Choices page on Plagiocephaly and Brachycephaly: https://www.nhs.uk/conditions/plagiocephaly-brachycephaly/ Great Ormond Street pages on positional plagiocephaly: https://www.gosh.nhs.uk/conditions-and-treatments/conditions-we-treat/positional-plagiocephaly/ Craniostenosis CDC pages: https://www.cdc.gov/ncbddd/birthdefects/craniosynostosis.html#:~:text=Lambdoid%20synostosis%20%E2%80%93%20The%20lambdoid%20suture,the%20rarest%20types%20of%20craniosynostosis Image of Cranial Suture Lines: https://www.stanfordchildrens.org/en/topic/default?id=anatomy-of-the-newborn-skull-90-P01840 BMJ article evidencing that plastic lasso Measuring tapes stretch: https://adc.bmj.com/content/90/8/820…

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Combination Feeding With Lucy Ruddle IBCLC 54:53

4 years ago54:53

54:53

Jen and Amy chat to the wonderful Lucy Ruddle IBCLC about her new book 'Mixed Up: Combination Feeding By Choice or Necessity', which is an absolute must read for any health visitor wanting to give evidence based information to families about combining formula and breastmilk. Combination feeding is massively under-rated and misunderstood; despite being central to almost every UK parents feeding journey. In this episode we cover the toxicity of the 'formula versus breastmilk' debate and how to honestly and sensitively negotiate conversations with families who have introduced formula, the WHO code and how to safely and confidently practice within it as well as different types of combined feeding and their value. If you have something to add to our discussion or would like to give us some feedback we would love to hear from you at iamahealthvisitor@gmail.com Resources and Further Reading: Lucy Ruddle IBCLC https://www.facebook.com/LucyruddleIBCLC/ The WHO code: https://www.unicef.org.uk/babyfriendly/baby-friendly-resources/international-code-marketing-breastmilk-substitutes-resources/the-code/…

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Top-Ups - When, What, How and How Much to give! 1:44:06

4 years ago1:44:06

1:44:06

Following our last episode talking about combi-feeding with Lucy Ruddle, we discuss top-ups; how they're used, how they should be used, and alternative strategies that can be used to limit or reduce their use. The NICE faltering growth guideline is the starting point, while it does detail everything that needs to be done, it remains open to interpretation over the level of breastfeeding assessment needed, and quickly moves on to talk of setting goals/review dates without specifying which actions can help establish and continue breastfeeding. To try and fill this gap, Jenny uses her IBCLC knowledge to talk through strategies used in practice which can be adopted by HV’s/HCP’s and how there are many more ways to do top ups than just using a bottle. To help avoid all babies of any age or size being told to have 40mls top-ups (the figure that most often seems to be plucked from the air without an evidence base), we explain how to calculate a top up using weight and weight loss. The NICE Faltering growth guideline https://www.nice.org.uk/guidance/qs197 Finger feeding: https://breastfeeding.support/what-is-finger-feeding/ Breast compressions: https://breastfeeding.support/what-is-breast-compression/ Paced bottle feeding: https://breastfeeding.support/tips-to-bottle-feed-a-breastfed-baby/ Book recommendation: Making more milk by Lisa Marasco & Diana West https://www.amazon.co.uk/Making-More-Milk-Breastfeeding-Increasing-ebook/dp/B07SQS22LC/ref=sr_1_1?dchild=1&keywords=making+more+milk&qid=1625065400&sr=8-1…

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Hydrocephalus with Harry's HAT Charity 57:29

4 years ago57:29

57:29

Jen and Amy chat to the wonderful Terri and Caroline from the charity Harry's HAT (Hydrocephalus Awareness Trust). We talk about the pitfalls and common things to look out for as a health visitor, as well as some lesser known warning signs that should be ringing alarm bells for us all. Do you know what the most accurate tape measure is we should be using? The most important factor in getting accuracy for head circumference measurement? Why you shouldn't be measuring head circumference for hydrocephalus monitoring in a baby clinic? We certainly learnt a lot in the process of this episode and we hope you will too! Thank-you to Caroline for sharing her very personal story of her son Harry's journey navigating this complex condition and her own experience of health visitor support... and thank-you to her HV Becks - it sounds like you are doing a FANTASTIC job! This episode may be usefully listened to alongside our additional episode on head circumference measurement more broadly, which includes other conditions as well as when and how to measure. Please do contact us at iamahealthvisitor@gmail.com with any comments or suggestions. Resources and Further Reading: Harry's HAT: https://harrys-hat.org Shine: http://shinecharity.org.uk…

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Infantile Spasms 40:42

4 years ago40:42

40:42

Small seizures with big consequences. Infantile spasms or 'west syndrome' is a devastating diagnosis for any family and can so easily be missed. Listen to Jen and Amy discuss the health visitors role in supporting the family with identification of this tricky and subtle disorder as well as being alongside them through diagnosis, treatment and supporting the development of the child as they grow. For comments and suggestions please do email us at iamahealthvisitor@gmail.com Resources and Further Reading: UK Infantile Spasms Trust: https://ukinfantilespasmstrust.org/about-infantile-spasms/ https://ukinfantilespasmstrust.org/ukistwp/wp-content/uploads/2018/11/UKIST-Information-Guide.pdf Epilepsy Action: https://www.epilepsy.org.uk/info/syndromes/west-syndrome-infantile-spasms Infantile Spasms Trust YouTube channel for example videos: https://www.youtube.com/channel/UCIZdN9LjQrYF7EwT16cuhmw Pavone et al 2020 academic review article: https://link.springer.com/article/10.1007/s10072-020-04600-5 Sheilds 2006 "little seizures, big consequences". Clinical summary article: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1464162/…

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New PHE Speech and Communication Tool for 2yr Checks 1:14:16

4 years ago1:14:16

1:14:16

Jen and Amy go through the new Public Health England Tool 'Early Language Identification Measure'. We discuss what the tool is aiming for, the pilot research results, how it differs from the ASQ and some reservations that we have about the application of this tool to health visiting practice. We would absolutely LOVE to hear from you especially if you have been involved with the pilot of this project or are involved in the roll out of it right now in your area. Drop us an email to iamahealthvisitor@gmail.com. References and Further Reading: ELIM Handbook https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/939872/ELIM_Handbook_December-2020.pdf PHE Report of the ELIM Pilot Research: https://myimpact.ncl.ac.uk/UploadFiles/270761/7d1567da-dbc1-460b-94ac-53f2e62f42f7.pdf Tiny Happy People Materials: https://www.bbc.co.uk/tiny-happy-people Hungry Little Minds: https://hungrylittleminds.campaign.gov.uk/…

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1
Rosy Whitwell on Supporting Parents with Sleep Questions 55:35

4 years ago55:35